Journals / Turkish Journal of Medical Sciences / 2010 / Cilt: 40 - Sayı: 1

The effect of intradialytic food intake on the urea reduction ratio and single-pool Kt/V values in patients followed-up at a hemodialysis center*

Pages
91–97
Publication Date
2010-01-01
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Intradialytic food intake seems to cause a decrease in the URR and spKt/V values.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study was conducted to determine the effect of intradialytic food intake on the urea reduction rate (URR) and single-pool Kt/V (spKt/V) values in hemodialysis (HD) patients.
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Key Findings & Data:The patients' mean age was 56.5 ± 13.0 years and median time on HD was 63 months.
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Conclusion & Impact:Conclusion: Intradialytic food intake seems to cause a decrease in the URR and spKt/V values.
🔬Design:Lab & Field Experiment
📍Scope:Comprehensive Sample
⚙️Variables:Key words: Blood urea nitrogen · food intake · hemodialysis

Abstract

This study was conducted to determine the effect of intradialytic food intake on the urea reduction rate (URR) and single-pool Kt/V (spKt/V) values in hemodialysis (HD) patients. Materials and methods: The study was designed as a quasiexperiment. Twenty-five patients were enrolled in this study. The patients' mean age was 56.5 ± 13.0 years and median time on HD was 63 months. In the first stage of the study, patients were given a standard meal after the first hour of the treatment. The same study group underwent HD without intradialytic food intake 1 week later. Predialysis and postdialysis blood samples for measurement of blood urea nitrogen levels were drawn at the HD sessions with and without food intake. The URR and spKt/V values were calculated. Descriptive statistics, the paired samples t-test, repeated measures analysis of variance, and power analysis were used for the analysis of data. Results: The mean URR and spKt/V values of the patients were higher in the session without food ingestion compared to the other session. Statistically significant differences were found between the sessions with and without food intake for URR and spKt/V values (P < 0.001). Conclusion: Intradialytic food intake seems to cause a decrease in the URR and spKt/V values.

Özet

This study was conducted to determine the effect of intradialytic food intake on the urea reduction rate (URR) and single-pool Kt/V (spKt/V) values in hemodialysis (HD) patients. Materials and methods: The study was designed as a quasiexperiment. Twenty-five patients were enrolled in this study. The patients' mean age was 56.5 ± 13.0 years and median time on HD was 63 months. In the first stage of the study, patients were given a standard meal after the first hour of the treatment. The same study group underwent HD without intradialytic food intake 1 week later. Predialysis and postdialysis blood samples for measurement of blood urea nitrogen levels were drawn at the HD sessions with and without food intake. The URR and spKt/V values were calculated. Descriptive statistics, the paired samples t-test, repeated measures analysis of variance, and power analysis were used for the analysis of data. Results: The mean URR and spKt/V values of the patients were higher in the session without food ingestion compared to the other session. Statistically significant differences were found between the sessions with and without food intake for URR and spKt/V values (P < 0.001). Conclusion: Intradialytic food intake seems to cause a decrease in the URR and spKt/V values.

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Cite This Article

KARA, B., AÇIKEL, C. H. (2010). The effect of intradialytic food intake on the urea reduction ratio and single-pool Kt/V values in patients followed-up at a hemodialysis center*. Turkish Journal of Medical Sciences, Cilt: 40 - Sayı: 1, 91–97. https://ajindex.com/articles/114057

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References (10)

  1. Evrenkaya TR, Atasoyu EM, Ünver S, Gültepe M, Narin Y, Tülbek MY. Hemodiyaliz yeterliliği ile komorbid faktörler arasındaki ilişki. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2002; 2: 44-51. 9. Lacson EK, Owen WF. Interactions between hemodialysis adequacy and nutrition in dialysis patients. Semin Dial 1999; 12: 112-6. National Kidney Foundation Kidney Disease Outcomes Quality Initiative. Clinical practice guidelines for hemodialysis adequacy: update 2000. Am J Kidney Dis 2001; 37: S7–S64. Gordon EJ, Leon JB, Sehgal AR. Why are hemodialysis treatments shortened and skipped? Development of a taxonomy and relationship to patient subgroups. Nephrol Nurs J 2003; 30: 209-17, discussion 218. Eggers D. The effects of food intake during hemodialysis treatments. Nephrol Nurs J 2000; 27: 331-33. Kinnel K. Should patients eat during hemodialysis treatments? Nephrol Nurs J 2005; 32: 513-17.
  2. Benaroia M, Iliescu EA. Oral intake during hemodialysis: is there an association with intradialytic hypotension? Hemodial Int 2008; 12: 62-5.
  3. Barakat MM, Nawab ZM, Yu AW, Lau AH, Ing TS, Daugirdas JT. Hemodynamic effects of intradialytic food ingestion and the effects of caffeine. J Am Soc Nephrol 1993; 3: 1813-8.
  4. Sherman RA, Torres F, Cody RP. Postprandial blood pressure changes during hemodialysis. Am J Kidney Dis 1988; 12: 37-9.
  5. Sivalingam M, Banerjee A, Nevett G, Farrington K. Haemodynamic effects of food intake during haemodialysis. Blood Purif 2008; 26: 157-62.
  6. San Juan Miguelsanz M, Pilar SM, Santos de Pablos MR. Reduction of Kt/V by food intake during haemodialysis. EDTNA ERCA J 2001; 27: 150-2.
  7. Singri N, Johnstone D, Paparello J, Khosla N, Ahya SN, Ghossein C, et al. Effect of predialysis eating on measurement of urea reduction ratio and Kt/V. Adv Chronic Kidney Dis 2004; 11: 398-403.
  8. Kooman J, Basci A, Pizzarelli F, Canaud B, Haage P, Fouque D, et al. EBPG guideline on haemodynamic instability. Nephrol Dial Transplant 2007; 22: ii22-ii44. National Kidney Foundation Kidney Disease Outcomes Quality Initiative. Clinical practice guidelines for hemodialysis adequacy. Am J Kidney Dis 2006; 48: S13-97. Daugirdas JT. Second generation logarithmic estimates of single-pool variable volume Kt/V: an analysis of error. J Am Soc Nephrol 1993; 4: 1205-13.
  9. Ahn W, Lim YJ. Mean arterial blood pressure estimation and its limitation. Can J Anaesth 2005; 52: 1000-1.
  10. Sesso HD, Stampfer MJ, Rosner B, Hennekens CH, Gaziano JM, Manson JE, et al. Systolic and diastolic blood pressure, puls